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Lead Guide Part II 2003 PDF

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4. LEAD POISONING & AFTERTIME Upon exposure, human body accumulates lead mainly in mineral tissues, with a lifetime of several decades. Under stress, such as malnutrition, demineralization occurs resulting in the mobilization of bone-sequestered lead. This stress might be sufficient, even in the absence of external lead exposure, to poison individuals. In the Aftertime, the lead burden coming from bone demineralization of undernourished survivors will add to the volcanic lead intakes. The lead blood level of the general population is already so close to the toxic threshold that even well prepared communities could be affected. During the troubled times ahead, the level of preparation of individuals, families and communities will vary greatly. The ideal situation, concerning the lead poisoning problem, is to get, shortly after the pole shift, a shelter (to minimize exposure to lead containing volcanic ashes), a steady food supply from an indoor permaculture system (to avoid lead contamination of food), means to get lead free water (e.g.: distillation), some kind of lead assay and an effective treatment for poisoned individuals (e.g.: chelation therapy). In the worse case, where none of this is available, simple measures (such as water filtration and dust mask) can be used to lower lead exposure. Even in lead contaminated soil, appropriate growing practices and a proper selection of crop can minimize plant incorporation of lead. Similarly, for exposed animals, an appropriate selection of species and body parts used for food can also greatly lower lead ingestion. Besides the level of preparation, there are also many less controllable parameters that will influences the likelihood for survivors to be poisoned by lead: ?? Individual susceptibility. Due to genetic factors, some individuals will be significantly less prone to lead poisoning than other. A wide range of response to lead exposure can be expected, this will only be revealed upon lead exposure. ?? The exposition of the living location to volcanic ashes is an important point to take into account for survival. For the people who have the freedom, willingness and opportunity to change location, many advices can be found on the safe location section of ZetaTalk®1. The prevalent wind with respect to volcanoes location is another important factor to consider. ?? The chemical composition of predominant volcano ashes might also influence considerably the survivors. Some volcanoes might be more deadly than other as far as lead chemicals they spew is concerned. To help to deal with the lead poisoning problem in the Aftertime, and in addition to physically prepare, it is also important to develop a positive attitude in: ?? Gaining knowledge. An analysis of the present knowledge related to lead can be used as a basis to propose solutions and help to deal with the lead poisoning problem in the context of the Aftertime. ?? Adapting to new conditions. On many aspects related to lead poisoning, such as avoidance of poisoning, recognition of poisoning and lead poisoning treatment, a trial-error approach will be necessary. Implementing solutions will not only require knowledge, but also adaptability and flexibility. The measures proposed below are for most of them, common sense. Different alternatives to treat poisoned individuals and to prepare lead free water are described, but the most important message to remember is that avoidance of exposure to lead is the most important prevention! 2 4. 1. Prevention from poisoning Avoiding lead from entering the body would prevent poisoning. Getting lead depleted water through distillation is tedious but not difficult. Getting food only from a closed production system is far more difficult and not really realistic. Therefore, means to reduce lead incorporation in the body will have to be used. Even when lead has reached the gastro intestinal tract, an appropriate diet and food selection, the addition of essential mineral and oral chelators are several ways to lower lead bio-availability. An appropriate housing and good hygiene practices can also help in lessening lead exposure. Since they are particularly sensible to lead poisoning, children, pregnant women and susceptible individuals should be especially protected from lead exposure. In addition, childhood brain impairment caused by lead might not be reversed by drug treatment2. 4. 1. 1. How to avoid lead from entering the body and to lower lead bio- availability In the Aftertime, the main probable routes of lead entry will be ingestion and inhalation. Below, some information for a better preparation and measures to minimize lead contamination are described. ?? Atmospheric lead and lead dusts Between the main two routes of lead incorporation in the body, inhalation is the most dangerous. Dust mask can be used to reduce exposure to atmospheric volcanic dust particles. They are available in hardware stores. It is certainly wise to stock some. They are cheap now; they might become valuable in the post pole shift era. ?? Lead in water During the coming cataclysms and the Aftertime, volcano ashes containing lead will contaminate surface water. Water will certainly be a major source of lead poisoning. In drinking water, the real danger comes from the insidious dissolved lead, which is not removed by filtration and can be present in crystal clear water. The method of chose for lead free water preparation is distillation. Distillation is not difficult; it requires a heating source to boil water. Means to prepare lead free water are described in ‘4. 4. How to get lead free water’. Not only should drinking water be distilled, but also water, which is used to wash hands and food and water that is used in food production systems. If lead free water cannot be found or produced, although this will not remove dissolved lead, filtration or decantation will remove dust-containing lead. If non-purified water has to be used, the less acid water the better, since acidity dissolves more lead. Mineral rich water, containing calcium, magnesium is also safer. It is probably safer to avoid surface water. A lead test kit is certainly very valuable here to determine which water source is the safest. ?? Lead in food Ingestion is the other route of lead incorporation; since lead is rather quickly dissolved in acid conditions, avoid lead particles from reaching the stomach. Lead may also contaminate food. Root vegetables take up soil lead and atmospheric lead may fall onto leafy vegetable. Even in heavily contaminated soils the roots do not absorb much lead. Plants incorporate lead differently and it is hard to predict the amount of lead absorbed by a plant species only based on soil concentration. Several factors influence lead incorporation by the roots: in a soil maintained at a pH level higher than 6.5, lead is relatively unavailable to plants. Since organic compounds bind lead, the addition of organic matter to the soil decreases lead incorporation by vegetables. Even at soil levels above 500 ppm (500 micrograms per gram), most of the risk is from lead contaminated soil or dust deposits on the plants rather than from uptake of lead by the plant3. When grown on lead contaminated soil, fruiting crops 3 (tomatoes, peppers, squash, cucumbers, peas, beans, corn, strawberries, apples, etc) incorporate little lead and should be preferred to root crops (such as carrots and radishes). Leafy vegetables (such as lettuce and spinach) should be avoided4. Leafy vegetable (such as lettuce leaves can store up to seven times more lead than beet roots. Lead that is deposited on leaves does not enter the plants. Vegetables should be carefully washed before consumption. Since water removes only partially lead deposited on plants, it is preferable to add vinegar (1%) or soap (0.5%) to cleaning water. It is important to remove any traces of dirt or dust on the plant parts that are eaten. Indeed, lead concentration in dust or soil is probably much higher than in the plant. It is also preferable to grow vegetables where edible plant parts are protected by leaves such as cabbage or corn5. Among the main dietary source of lead, grain comes first, since the fibrous seed coat retains mineral, whole grain potentially contains even higher amount of lead. The second alimentary source of lead comes from vegetables. Meats come third. Plants tend to have higher lead levels than animal foodError! Bookmark not defined.. Animals have physiological mechanisms to get rid of lead, but they also incorporate and concentrate lead in some organs, mainly in bones. When eating animals suspected to be poisoned by lead, if possible, in addition to bones, the following organs should probably be avoided: testes, kidney, bone marrow, brain and liver6. However, liver is a good source for many vitamins and should only be rejected when absolutely necessary. If one can assume that some animal species are more resistant than others to lead exposure because they excrete lead more efficiently, poultry should preferably be consumed. Pigs, goats and rabbits come next. Cattle, sheep, horses, should be the last candidates. In addition young animals contains higher percentage of lead than adult animals. Marine organisms concentrate lead by a factor of 100 to 300 times when compared to seawater. However, lead in seawater is very diluted and the concentration of lead in seafood remains lowError! Bookmark not defined.. Any food in contact with lead particles produced by volcanoes should be carefully cleaned. This should already remove an important source of potential poisoning (this will not remove lead which has been incorporated in food). 4. 1. 2. How to lower lead bio-availability A good diet can help to minimize lead absorption. Undernourishment favors lead absorption. There are several ways by which appropriate nutrition can help in preventing lead incorporation in the body: ?? Appropriate diet A fat rich diet seems to increase lead absorption (since fat rich food will hardly be available after the pole shift, this observation is on the good side). However, low ironError! Bookmark not defined.,7, calcium, magnesium8 or vitamin C (ascorbic acid) increases lead blood level and consequently lead poisoning. Food like spinach is rich in iron 9. It does not require strong light to grow spinach. Dietary ascorbic acid seems to protect from elevated lead blood level10 (this is well documented in animals, more speculative in human). Dietary vitamin C is probably a good way to control lead toxicity11. People who consumed alcohol on a daily basis as well as smokers seem to have a higher blood lead concentration12. The consumption of tofu, which has a high calcium content, is associated with low blood lead levelsError! Bookmark not defined.. In an attempt to identify the most appropriate vegetable diet, the ‘Dr. Duke's Phytochemical and Ethnobotanical Databases’13 were searched using several parameters. These vegetables were selected based on their chemical composition in compounds (ascorbic acid, calcium, magnesium, iron, zinc, and lead), which appear relevant in preventing lead poisoning or in treating poisoned patients. The ranking of these vegetables, starting with the one, which appears the most beneficial, is shown in table II. 4 Table II. Selection of the most appropriate vegetable diet to prevent lead poisoning Common name Latin name Part Ascorbic acid (ppm) Calcium (ppm) Magnesium (ppm) Iron (ppm) Zinc (ppm) Lead (ppm) Green Bean Phaseolus vulgaris Fruit 2,389 18,000 18,000 1,050 150 10.5 Lettuce Lactuca sativa L. Leaf 3,000 19,140 8,700 176 974 6 Spinach Spinacia oleracea L. Plant 7,595 15,700 11,000 384 185 3 Paprika Capsicum annuum L. Fruit 20,982 1,956 2,340 286 77 2 Endive Cichorium endivia L. Leaf 9,302 10,080 2,400 360 146 5 Radish Raphanus sativus L. Root 6,216 8,570 3,570 189 72 Cauliflower Brassica oleracea var. botrytis L. ‘Flower’ 9,300 4,040 2,250 122 97 Brussel-Sprout Brassica oleracea var. gemmifera Leaf 6,069 3,177 1,642 136 157 Carrot Daucus carota L. Root 775 5,710 1,980 300 79 2 Beet Beta vulgaris Root 868 4,200 4,200 165 70 4 ?? Alimentary chelator Alimentary chelator compounds (such as EDTA) work by sequestering lead and consequently avoid assimilation in the body. Since 95% of EDTA taken orally is not absorbed, per os administration of CaNa2 EDTA is used when lead is present in the gastro-intestinal tract14. One might then suppose that the addition of small amounts of EDTA to contaminated food could sufficiently decrease lead absorption to prevent poisoning. Oxalic acid and citric acid (found in significant amount in rhubarb and citrus, respectively) are also possible alimentary chelators but their effectiveness in preventing lead assimilation is not documented. They might even increase the bio-availability of lead and the acidity of these compounds might increase the dissolution of lead in food. Succimer and amino acids containing sulfur (cysteine and methionine, ...) are used as additive to oral medicine for preventing chronic lead poisoning15,16. ?? Essential metal ions and vitamins supplementation Food enriched in essential metal ions such as iron, calcium, magnesium and zinc, which can compete with lead for binding to target molecules, can reduce lead assimilation. Calcium seems to determine how much lead is absorbed from the diet. Calcium and lead are similar and compete for binding sites in the intestines17. The processes used to remove lead from water, such as water distillation, will also eliminate essential metal ions. Therefore, when metal ions depleted water is constantly drunk, it might be important to concomitantly use supplementation of essential metal ions (Ca2+, Mg2+ and Zn2+) in order to keep the body healthy and not too sensible to environmental lead contamination. In addition, when food consumption decreases, intake of vitamins and minerals can no longer be sufficient, which makes the body vulnerable to lead contamination. Malnutrition and diarrhea are important risk factors of lead poisoning. Currently, in the general population, the intake of magnesium, calcium and zinc is usually too low. One can imagine that this problem is will get worse during the Aftertime, unless specific attention is paid to it. The first measure to prevent contamination is avoidance of exposure to lead, the second one is to make sure that sufficient amounts of essential minerals are ingested to minimize lead assimilation. Mineral supplements and vitamins should be stocked and natural sources should be identified. One important parameter to take into account in selecting mineral supplements is the balance between the different essential metal ions. An excess of one mineral can reduce the assimilation of the other ones. When used during an extended period of time, a well-balanced 5 multimineral supplement is preferable. Oral administration is the most common way of mineral supplement administration. The following information on essential minerals and on vitamins18, 19 can help to identify appropriate sources: Calcium is found in dairy products. Assimilation of organic calcium supplements such as carbonate, citrate, malate, gluconate or lactate is most efficient. Some supplements contain vitamin D, which is required for calcium assimilation. Calcium intake of the population is often not sufficient. Children, teenagers and pregnant women need a higher intake of calcium. Not more than 2000 mg of calcium (total) should be taken per day because it could affect zinc, magnesium and iron assimilation. It is usually taken in supplement of 400 to 500 mg. In addition to dairy products, mineral water, citrus fruits, cabbage, sardines with bones, broccoli and almonds are good sources for calcium. Oysters shelves and bone powder are sometimes used as mineral supplements but in that case, one has to make sure that they do not contain lead. Shellfish concentrate minerals in the shells and will probably concentrate more lead in the Aftertime. Shells accumulated before industrial times (and also before the pole shift) could be an appropriate source of calcium supplementError! Bookmark not defined.. Magnesium supplements are often found in aspartate, carbonate, gluconate, oxyde or sulfate form, but the citrate form is better absorbed. 200 to 600 mg of magnesium supplements can be taken per day. The total magnesium ingested should not be more than about 700 mg per day. Magnesium supplementation often induces diarrhea. Natural sources of magnesium are dry fruits, green vegetables, mineral water and wild rice. Zinc supplements, taken in excess can interfere with cupper assimilation. Not more than 10-15 mg/day of zinc supplement should be taken. Zinc is found in meat, fish, poultry, eggs, seafood (oysters), cheese, and dry beans. The chemical form of zinc does not influence much its bioavailaility but zinc is better absorbed when coming from meat rather than from plants. The addition of zinc to food decrease diarrhea and boost the immune system. Iron supplements (Fe2+) in sulfate, fumarate or gluconate forms are often associated to several vitamins and minerals. Usually iron supplements provide 25 mg per day. An excess of iron intake can be toxic. Alimentary iron comes from meat, fish, seafood (oysters) and green vegetable. Vitamin C in blood is inversely correlated to lead level. Supplements of 200 to 1000 mg per day are usually taken. Ascorbic acid is found in citrus fruits, kiwi, cabbage, broccoli, green leafy vegetables, paprika, cassis and strawberries. Vitamin D is required for calcium assimilation. Vitamin D is synthesized by the skin when exposed to the sun. In the Aftertime, with a low sunlight and conditions that favor mineral loss, getting sufficient vitamin D will certainly be a matter of concern. Upon vitamin D deficiency, less calcium is absorbed and bone losses increase. In the Aftertime conditions, this would result in an increase of lead assimilation and bone-sequestered lead mobilization. Vitamin C is found in fat fish, eggs and liver. 4. 1. 3. How to minimize lead exposure ?? In food production systems The best way to survive under adverse environmental conditions is to enclose oneself in a closed autonomous system where a shelter reduces exposure to lead containing ashes and where food is obtained from indoor gardening. Even in such systems, care should be taken to lower lead exposure. Constant attention has to be paid to prevent lead from reaching the food production chain. One should be aware that poisoned people, especially when treated with chelators would excrete lead in urine and feces, which in entering the recycling loop would in turn contaminate the food production systems. Similarly to the use of EDTA as a treatment for lead poisoned patient, EDTA can also be used to lower metal ions contain of nutritive solutions 6 when an accidental contamination occurs. The plants or microorganisms cultivated in a permaculture process can also be used to monitor the lead contamination level of the system (see 4. 3. Lead Assays in post pole shift era). They also offer the opportunity to remove contaminating lead or metal ions from the system (see 4. 4. How to get lead free water). ?? In housing Although in the Aftertime, hygiene might be ‘the least of anyone’s thoughts’20, lead exposure can be reduced using simple cleanliness measures to avoid carrying volcanic dust in Aftertime housing and bringing lead containing ashes to the mouth through dirty hands. Ingestion of lead containing dust is currently a major source of contamination for children; therefore one might suspect that the problem will be worse in the Aftertime. The only way to protect from this source of contamination is to keep the housing and children as clean as possible. 4. 2. Treatment when contaminated When prevention is not enough and lead poisoning has occurred, treatment is necessary. In the following paragraphs these questions are addressed in the context of the post pole shift era: once lead poisoning is suspected or recognized, when should a treatment be initiated? What kind of treatment will be available to treat poisoned individuals? Who should be treated first when only finite resources are available? These are tough questions and difficult choices will have to be made. The following paragraphs are intended to help in defining priorities. 4. 2. 1. When should a treatment be initiated Because it might be the only way to confirm lead poisoning when assays are not available, one should learn to recognize the symptoms of lead poisoning21,Error! Bookmark not defined.. Visual disturbances, gastro-intestinal failures and nervous system disorders reported in ZetaTalk®Error! Bookmark not defined., are symptoms which are commonly described. However, the symptoms are not specific (most persons with lead toxicity are not overtly symptomatic 22). Children behavior may be the only indication of lead poisoning. Lead toxic children are often reported as being ‘difficult to manage’23. Depending on resources, treatment should be initiated as soon as recognized. If resources for treatment are scarce, it might only be possible to treat patients with life threatening symptoms or acute poisoning. Life threatening symptoms suggesting encephalopathy are obtundation, headache and persistent vomiting. Whether lead exposure is acute (happens quickly) or chronic (poisoning occurs over weeks or months) the symptoms are slightly different. The symptoms of lead poisoning are summarized in Table III. 7 Table III: Lead toxicity symptoms (from ‘Case Studies in Environmental Medicine’22) Mild Toxicity Myaglia or parasthesia Mild fatigue Irritability Lethargy Occasional abdominal discomfort Moderate Toxicity Arthalgia General fatigue Difficult concentration Muscular exhaustibility Tremor Headache Diffuse abdominal pain Vomiting Weight loss Constipation Severe Toxicity Paresis or paralysis Encephalopathy. May abruptly lead to seizures, changes in consciousness, coma and death Lead line (blue-black) on gingival tissue Colic (intermittent, severe abdominal cramps) Some symptoms are more specific and more easily recognizable: sweetish metallic taste, burning mouth, severe thirst, unsteady walking style, wrist drop (see picture in referenceError! Bookmark not defined.) and foot dropError! Bookmark not defined., “lead-line” on gum margin (see picture in referenceError! Bookmark not defined.). It is very unusual to see a lead line in a child. This purplish line on the gums is rarely seen today, but if present, usually indicates severe and prolonged lead poisoning22. 4. 2. 2. How poisoned individuals could be treated There are several alternatives to treat lead poisoned patients. In the addition to the effective chelation therapy, essential metal ion supplementation therapy seems to work quite well. Homeopathy, heat depuration and plant therapy, which might be more easily implemented in the pole shift era, can also provide solutions to the problem. The body has the ability to get rid of lead and consequently the first treatment to consider is the avoidance of any additional lead incorporation. The treatments described below can speed up the excretion of lead. ?? Chelation Therapy Chelators whose utilization necessitates the hospitalization of the patient, which require intravenous administration or present severe side effects should be avoided. The only chelators (among those which are commonly used at the moment) that fulfill these requirements are succimer and dimerval. Clearly, succimer has the safest spectrum of side effects. Chemet is the Sanofi’s brand name for succimer24,25. The drug produces no harmful side effects but is expensive about $ 400 for a bottle of 100 pills. As often suspected for oral chelators, succimer doesn’t seem to increase gastro-intestinal lead absorption during treatment26. Since a complete lead free environment will be difficult to attain in the Aftertime, this property of succimer, 8 together with its oral administration and its minor side effects make of this drug, the best candidate for lead poisoning treatment in the post pole shift era. Chronic lead intoxication is usually treated with oral chelators An alternative is to use EDTA orally, even if most of it will not reach the blood stream. EDTA is cheaper than succimer and easily available. If EDTA has to be used, take the monocalcium disodium form: CaNa2 EDTA. It is also possible to purchase oral chelation formulas, containing EDTA, cystein and vitamins, which are intended, in lowering heavy metals in the body, to decrease the incidence of heart disease. One example is Life Glow Plus ($150 plus shipping for 4 bottles)27. A potential problem sometimes reported with chelation agents (particularly when taken orally) is that they can greatly enhance the absorption of lead from gastro-intestinal tract. Therefore, special care should be taken to absolutely avoid lead in food and water of poisoned individuals during treatment. Or treatment should be given on an empty stomach in order to avoid chelation of dietary metals. However, since 95% of EDTA taken orally is not absorbed, per os administration of CaNa2 EDTA is used when lead is present in the gastro-intestinal tract. Since ‘The chemical industry will be very hard hit’28 during the coming cataclysms, the synthesis of the therapeutic chelator molecules which are presently used for lead poisoning treatment will most probably not be possible, unless a community has specifically prepared for this, in acquiring the necessary knowledge, in implementing the synthesis protocols and in assuring adequate sources for the required starting chemicals. ?? Supplementation therapy with essential metal ions Toxic metal elimination by mineral substitution is described in Troubled Times29. On an animal model, oral treatment with magnesium has better effects than intravenous administration of EDTA30. If this were also observed for humans, mineral supplementation therapy would be an easy way to treat poisoned individuals. This therapy is cheaper, and easier to implement than chelation therapy. Therefore, in addition to chelators, it might be wise to stock mineral supplements containing Mg2+, Ca2+, Zn2+. Mineral supplementation can be used not only to prevent lead assimilation (as described in 4. 1. 2. How to lower lead bio-availability, ‘Essential metal ions and vitamins supplementation’) but also to treat poisoned individuals. ?? Heat Depuration This description of heat depuration can be found on the following web site reference31:‘Like chelation therapy, these treatments seek to rid the body of chemicals such as lead, copper, iron, and other toxins. Patients are placed in a sauna heated to as high as 150 degrees Fahrenheit, a temperature which is thought to mobilize the chemicals from deep stores within the body. The treatments are often administered in conjunction with chelation therapy and other forms of detoxification. For example, patients may spend a full day undergoing heat treatments, exercise sessions, a massage, and nutritional therapy counseling. Each treatment lasts from 15 to 40 minutes, and 3 or 4 may be given during the course of a day. Advocates say that an average of 20 eight-hour sessions are needed to completely clear the body of toxins.’ The effectiveness of heat depuration in lowering lead blood level or in increasing lead excretion is not documented. ?? Plants If plant therapy using wild plants is envisioned in the Aftertime, this requires learning to recognize the local medicinal plants in the vicinity of the survival site. Due to the effect of the shift and cataclysms on vegetation, it is hard to know which of these plants will be present in one’s environment after the pole shift. Another alternative is to grow the appropriate medicinal plants. Good books on medicinal plants32 should be included with the survival items, which are 9 prepared by the people who want to survive to the pole shift. Databases can also be searched for medicinal plant content in calcium, magnesium, zinc, iron, vitamin C, oxalic acid, citric acid, ... Rhubarb (Rheum Rhabarbarum L. & Rheum Rhaponticum L.) is rich in oxalic acid, which is a carboxylic chelator that would bind Pb2+ with an affinity from 10 to 100 higher than Ca2+ or Mg2+. However, when compared to EDTA, the affinity of oxalic acid for Pb2+ is very small. Oxalic acid is also present in other common medicinal plants, like oxalis acetosella L., Rumex Acetosa L. and spinach. Citric acid, another carboxylic acid, which has been used in the past as a therapeutic chelator of lead is found in lemons and oranges. Citric acid has an affinity for Pb2+ similar to oxalic acid but a lower selectivity for this metal ion versus Ca2+ or Mg2+ (Table I). When using these plants, care should be taken to absolutely avoid the presence of lead in the gastro-intestinal tract, because it would probably increase the bio-availability of lead. In addition, when grown in the presence of lead these plants would also probably concentrate this metal ion. Another plant that might be used to treat lead poisoning, is Equisetum arvense L. which is rich in minerals and so could work as a supplementation therapy. It has been suggested, probably due to the high sulfur content that garlic has a role in treating lead poisoning. ?? Homeopathy Many occupational medical doctors became convinced of the effectiveness of homeopathy because of the successes they observed with this kind of therapy on metal ions poisoning. Special preparations intended to treat lead poisoning can be found. 4. 2. 3. Who should be treated Ideally, everybody presenting symptoms of lead poisoning should be treated, especially when life is threatened. However, when resources for treatment are limited, priorities have to be established. ?? Children first Children developing nervous system makes them much more susceptible than adults to lead poisoning, particularly under six. The most acute and severe exposure can generate permanent neurological effects and even death. ‘In addition, children tend to develop permanent developmental and neurological problems when exposed chronically to lead, whereas many of the symptoms experienced by adults are reversed when exposure is ceased’33. Childhood brain impairment caused by lead might not be reversed by drug treatment. The efficiency of lead absorption from the gastro-intestinal tract is greater in children than in adultsError! Bookmark not defined. (adult humans absorb 10–15% of ingested lead; children absorb up to 50% of ingested lead). Since lead can cross the placenta barrier, unborn children can be poisoned through their mothers. Lead also appears in breast milk, and lead that has been accumulating in bones and stayed dormant for years can cause poisoning at times of increased bone resorption such as pregnancy and lactationError! Bookmark not defined.. Exposure to lead is more dangerous for young and unborn children. Since their neurobehavioral development is impaired even with low level of lead, which often results in a reduced IQ, children (particularly the youngest ones) should especially be protected from lead poisoning (safest food and water should be reserved for them). They should be treated when necessary and as soon as possible. ?? Next, susceptible individuals… Poisoned adults with strong symptoms should be nourished with safest food (and safest water). So protect the most genetically susceptible ones (once this has been determined). 10 4. 3. Lead Assays in post pole shift era The ability to determine lead concentration in water, food, environment, patient blood and/or urine would certainly help to survive in the Aftertime. Unfortunately, the most common (and reliable) methods to measure lead concentration, based on spectroscopic properties of lead, necessitate expensive equipments. For instance, atomic absorption requires a special spectrophotometer with a lead lamp and an acetylene supply. These lamps are fragile and have a finite lifetime. The protection, use and maintenance of such equipment is not very realistic, for most, during and after the coming cataclysms. The newly developed methods based on the production of a fluorescent or luminescent signal in the presence of lead also depend on delicate detection equipments. Immunodiagnostic tests based on the presence of biomarkers in human patients, which are still under development, appear more robust, but they do not measure lead but the body response to lead poisoning. They cannot be used for lead determination in food, water and the environment. Moreover their efficacy in real conditions has still to be proven. So lead assay in the Aftertime will definitively be a problem since it is already, to some extent, a problem now. Research on lead poisoning, prevention and treatment would be more advanced if a robust and ‘easy to use’ test had had been available. So what kind of test could be used in the Aftertime to measure the presence and concentration of such an insidious poison in patients, food, water or in the environment? ?? Colorimetric tests. These tests can detect the presence of lead but cannot be used to determine lead concentration. Since their detection limit of these tests is too high, a negative result on a water sample will not mean that this water is safe. However, these tests do not necessitate special equipments, they are robust and are easily available. Since these tests are available in hardware stores and provided that the shelf live is long enough, it might be wise to get such tests and stock them for the Aftertime. It is also possible to stock the chemicals that are used in this assay, but this would require some research and testing. ?? To monitor the lead level in a hydroponic food production, a biotest using a sensor such as riceError! Bookmark not defined., or a bacterial or whole cell biosensor could be implemented. ?? The observation of the symptoms will probably be the only mean to monitor the lead poisoning status in patients 4. 4. How to get lead free water Conventional methods for removing metals from wastewaters include chemical precipitation, carbon adsorption, chemical oxidation or reduction, ion exchange, dialysis, electrodialysis filtration, electrochemical treatment, reverse osmosis and evaporationError! Bookmark not defined.. Among these processes, the followings are applicable to lead: evaporation, reverse osmosis, ion exchange. Removal of lead from water using living material (in a process known as biosorption) is well documented and is particularly well suited to an hydroponic food production system. In biochemical research laboratories, where heavy metal free water is a necessity, water is often prepared by distillation, membrane filtration, ion exchange and by ‘affinity’ chromatography. Most of the time, a combination of these processes is used to prepare ‘lab grade’ heavy metals free water. Often the ultimate process is an affinity chromatography step where water, already to a large extent depleted of metal ions, is passed through a column filled with a gel to which a chelator is bound. One difficulty with these different methods is the assessment of their efficiency in the Aftertime. This is related to the lack of a sensitive and robust lead assay and to the very low toxic threshold of lead in water. The loss of efficiency of such systems as chelation on column, ion exchange and reverse osmosis which occurs over time, will be very difficult to assess. For 11 the methods requiring a regeneration cycle, it will be difficult to determine when it is necessary to run this step. When metal ions depleted water is constantly used, it might be important to concomitantly use supplementation of essential metal ions (Ca2+, Mg2+ and Zn2+) in order not to make the body too sensible to environmental lead contamination. Since water purity is a concern of many, numerous solutions and equipments have been developed. Many solutions to purify water are described in the Internet, as in the following reference34. ?? Distillation Processes to get lead free water are well documented in Troubled Times. The simplest way to deplete water from metal ions is distillation, provided that energy to heat up water is available (‘Distillation process’Error! Bookmark not defined. and ‘Distilling drinking water’Error! Bookmark not defined.). A system as simple as a kettle connected to a pipe (where water can condense) can make up a good distiller. If distillation happens to be insufficiently effective in removing lead from water (possibly due to a high lead content in the starting aqueous material), it is always possible to run a second step of distillation to get doubled distilled water. ?? Chelation columns (‘affinity’ chromatography) A metal chelation column could be used in the Aftertime to deplete water from lead. A metal chelator is bound to a solid phase (gel), which is used to fill a column. Water can be passed through such a column to remove lead. However, this type of chelating gel is expensive and requires chemicals for regeneration (acid or EDTA). It is a very specialized product, which might not be easy to purchase. ?? Ion exchange Ion exchange works in a similar way as chelation on column but instead of a chelating group, a negatively charged molecule is used to capture positively charged lead ions. When compared to chelation on column, it is less specific and less effective, and less expensive. It usually requires salts for regeneration. ?? Filtration (reverse osmosis) This method to remove lead from water is described in Troubled Times35. Reverse osmosis requires water devoid of insoluble particles to minimize membrane clogging. It also requires enough pressure (pump) to run the system. Much more complicated to run and maintained than distillation or chelation on column. ?? Biosorption Biosorption is an alternative way to remove lead from water. ‘Alternative metal removal and/or recovery methods based on metal sequestering properties of certain natural materials of biological origin. Certain type of microbial biomass can retain relatively high quantities of metal by “passive’ sorption and/or complexation. This is commonly known as biosorptionError! Bookmark not defined.’. The principle of the biosorption process is basically a solid-liquid contact. Microorganisms are used to remove heavy metals from water. The microorganisms bind the metals on the surface of their membrane and/or incorporate them in their cytoplasm. Metal sequestration by microbial (bacteria, fungi and algae) cell wall works like an ion exchanger but with a greater capacity. Biosorption consist in passing a heavy metal contaminated solution through a living or not living microorganism biomass, to favor contact, in such devices as batch stirred tanks or continuous flow columns. Running water through coffee grounds is an example of biosorption using dead biological material36. 12 Lead and cadmium are enriched in marine microorganisms by factors of 1.7 105 and 1.0 105 respectively, relative to the aqueous solute concentrations of these elements in ocean waters. Immobilization and bioaccumulation of lead by bacteria may result in transfer of this metal through the food chain37. Therefore, such a biomass can also be used to deplete water from lead. The use of different sources of biological material to sequester lead is documented: ?? Bacteria: Micrococcuc luteus and Azotobacter sp. Cells capable of immobilizing 4.9 and 3.1 102 mg of lead per gram of dry cell weight, respectively, have been described38. Lead binding by cell envelope of a lead resistant strain of Aeromonas was observed39. ?? Fungi: The filamenteous fungi Rhizopus arrhizus has been shown to sequester a relatively high quantity of lead (0.5 mmol of lead per gram of cells) at pH 440. ?? Algae: ‘There is a high potential for certain algal cells to take up lead quickly and completely from the medium when the metal is supplied at subtoxic levels’41. ?? Plants: Alfalfa (Medicago sativa) shoots silica-immobilized have been use to remove and recover several metal ions (including lead) from aqueous solutions in a processed called phytofiltration technology42. The advantage of biosorption as a tool to remove lead from water in the Aftertime context is that no chemicals are required, it can be used for large-scale water purification and since it uses a similar technology and know-how, it can be used concomitantly with hydroponic food production systems. Biosorbents have a low affinity for calcium and magnesium and therefore would deplete drinking water from these essential metal ions to a lesser extend (when compared to other lead depletion systems). 4. 5. Lead and indoor food production Indoor food production systems, where safe water is recycled, is a good way to avoid lead from reaching the food chain. However, in a heavily contaminated environment, there is always the possibility of lead contamination. In such a system, where the entire food production loop is done in a closed system, a possible entering route for lead is human feces and urine of contaminated individuals. A biosorption compartment in a recycling food production system can be used as a barrier to avoid contamination of the whole system. A biosensor compartment can also be placed before the biosorption compartment. If lead concentration in the system reaches the biosensor threshold, a physical (phenotypic) change of the biosensor would indicate lead contamination. In that case, the biosorption compartment would concentrate and prevent the main food production from being contaminated. The removal of the biomass of the biosorption compartment would eliminate lead from the food production-recycling loop (figure 2). As long as the biosensor does not detect lead, the biosensor and biosorption plants or microorganisms can be used a secondary food source. Instead of a biosorbent, ‘chemical’ chelators such as EDTA can be used to chetate lead and save food production, but in that case, once the EDTA supply has been consumed it will be very difficult to replace it in the Aftertime. To get such a food production system working is not easy, but the advantage it can provide goes beyond food supply. Once the know-how to grow plants and microorganisms in a closed system has been gained, the production of chelators, for lead poisoning therapy, by microorganisms can be envisionned (as well as antibiotics). Citric acid is commercially produced from the fungus Aspergillus niger where oxalic acid is a byproduct. Both acids (chelators) are separated based on the solubility of their calcium salts (calcium oxalate is precipitated at low temperature whereas calcium citrate is precipitated at much higher temperature, around 100°C). 13 Figure 2: Recycling hydroponic food production system where a biosensor (1) is introduced to monitor the lead level. Following the biosensor, a biosorption step is added (2). Its function is to concentrate lead and protect the food production system. As long as the biosensor does not detect lead, the biosensor and biosorption plants or microorganisms can be used as a secondary food source. If lead enters the system, it would be detected by the biosensor and it would be retained by the biosorption compartment, avoiding the contamination of the main food production system. In that case, the plant or microorganism used in the biosorption compartment would have to be discarded and replaced. (2) Biosorption Microorganisms or plants to remove lead from the nutritive solution (1) Biosensor Plants or microorganisms that respond to lead poisoning Main Food Production Algae, Fishes, Plants, … 14 5. CONCLUSIONS ZetaTalk® describes that during the coming pole shift, volcanoes will spew ashes containing lead, exposing survivors to this toxic element. Human species has survived many pole shifts and will also survive the pending one. Therefore, the lead poisoning problem that accompanies the pole shift is not fatal for human species; it is only one of the parameters (among many others) that have to be taken into account for survival. Compared to the previous pole shifts, humankind has major advantages in dealing with the lead poisoning problem. First, we know, thanks to ZetaTalk®, that humankind will face such a problem and consequently one can prepare, learn to minimize lead exposure, and seek solutions. Secondly, there are now, effective treatments to remove lead from the body of poisoned individuals. But there are also drawbacks: due to the pollution that industrial age has generated, significant levels of lead are found in the population. Lead is a cumulative poison and its level in blood of human population is such that any additional exposure could be sufficient to exceed the toxic threshold. Moreover, under stress and malnutrition, lead is mobilized from the bones and can poison individuals even in the absence of further lead exposure. The post pole shift era will require adaptation and even in well-prepared communities, the acquisition of knowledge will facilitate the adaptation to unexpected conditions. It will be possible to deal with the problem of lead poisoning in the post PS era, provided that sufficient knowledge on lead and lead poisoning is gained and that common sense measures are taken. These measures are not necessary high-tech measures; simple actions can be taken to avoid lead poisoning and even to treat contaminated individuals. However, lead is insidious. It has no special taste or smell, it is not directly observable and the assays to determine whether or not someone is contaminated will not be available to most of the survivors. Moreover, it will be difficult to treat severely poisoned individuals (especially when intravenous injection of chelator is required). Since undernourishment favors lead absorption, it is crucial to prevent lead from reaching the gastro-intestinal tract in ingesting lead free water and food; inhalation as a source of lead poisoning will probably be of secondary importance. Most of the measures used to prevent lead contamination and also to treat lead poisoning are probably also effective against other toxic metals such as mercury. Human body can, to some extend, get rid of lead by itself, provided that the exposure to lead is suppressed. Were human continuously exposed to lead, human species would have selected resistant individuals. However, since the exposure to lead decreases after the pole shifts, the selection pressure of lead also decreases, leading to the current situation with individuals in the population having a wide variety of lead poisoning susceptibility. Among the measures that can be taken to deal with lead poisoning, some are very easy to implement and do not necessitate much preparation, other are only applicable where an hydroponic food production or permaculture setting has been established. Concretely, the different measures which can be taken to deal with lead poisoning in the Aftertime can be listed starting with the ones which require the least preparation to finish with the ones which are more complicated to implement, as advised in the ‘What Mindset’43 page of ZetaTalk: ‘You think of the minimum that you will need, not the optimal and how to arrange for it. When you've got the minimum, start adding to that, but only when the minimum is addressed. This is where humans fail the most in planning for the shift, and life afterwards. They think of their life now, and come down from that. They should start with life with nothing, but bugs and sucking dirty water up from the ground with their hands. No clothes. No heat. Nothing. Then add what is needed most, and first. Heat, shelter, then food, bugs if need be or weeds, then how to clean your food so you can stop that tummy ache and constant pooping, then how to grow or gather food more 15 effectively. Start from that, adding what is needed to clean water and eat food nature will provide, live bugs aplenty, and go from there, and you will have a better plan.’ 1. No preparation. Even for individuals who do not have the opportunity, the willingness or the time to physically prepare to survive in the Aftertime, gaining knowledge on lead and lead poisoning is a first step. Preparation is only made on an intellectual basis, nonetheless, it is certainly reassuring to gain knowledge on this subject and it certainly prepares to ‘move when necessary’. Going from level of preparation1 to level 2 is easy when enough knowledge and emotional preparation has been achieved. 2. Low level of preparation. This level of preparation is essentially gathering materials: ?? Dust masks. ?? Lead assays. ?? Therapeutic chelators. ?? Seeds of plants that tend not to accumulate lead when grown outside. ?? Water distillation system. ?? Vitamins and mineral additives. 3. High level of preparation. Going form step 2 to 3 is not difficult in the context of a community where resources and expertise are shared and where food...

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